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Review Question - QID 214306

Mechanisms of Trauma evaluation and management Primary and secondary surveys with resuscitation as needed QID: 214306 (M2.OMB.20.4875)
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QID 214306 (Type "214306" in App Search)
A 54-year-old woman presents to the emergency department with trouble breathing. She has had episodes like this before with unclear exacerbating factors. She has a past medical history of a car accident that required her to be intubated in the intensive care unit for over a week. The patient has a 44 pack-year smoking history and drinks alcohol regularly. Her temperature is 97.7°F (36.5°C), blood pressure is 133/74 mmHg, pulse is 110/min, respirations are 25/min, and oxygen saturation is 92% on room air. The patient appears uncomfortable and has an increased work of breathing. She demonstrates coarse breath sounds on auscultation that are loudest when the stethoscope is placed over the trachea. Which of the following is the most likely diagnosis?
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